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NPI Code Detail

MEDICARE: DR. ANN M GRANEY DDS

MEDICARE: DR. ANN M GRANEY DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry21800OH

General Provider Information

NPI Number : 1356573299
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN M GRANEY DDS
Provider Business Mailing Address
First Line : PO BOX 933132
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0001
Country : US
Telephone Number : 330-673-1016
Fax Number :
Provider Business Practice Location Address
First Line : 143 GOUGLER AVE
Second Line :
City : KENT
State : OH
Zip : 44240-2401
Country : US
Telephone Number : 330-673-1016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2009
Last Update Date : 11/07/2017

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Directions to “ DR. ANN M GRANEY DDS” Practice Location

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